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1144318692
SCOTT KEITHLEY
LODI, CA
NPI
1144318692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 31486)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
-- SCOTT KEITHLEY D.D.S.
630 S FAIRMONT AVE STE C
LODI, CA 95240-3803
Phone number: 209-334-2211
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Mailing Address
-- SCOTT KEITHLEY D.D.S.
630 S FAIRMONT AVE STE C
LODI, CA 95240-3803
Phone number: 209-334-2211
Copy
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